Laserfiche WebLink
1 .__ <br /> Tota� Fee: $ /�, ,�. �3 Date Received: Le� � G-�C� <br /> ` Entered By: � Permit#: G' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------- <br /> -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) ,;. NE�10R CONTRACTOR <br /> �__.—�. <br /> .' <br /> JOB SITE ADDRESS: a��J S� CR�S� Y �EvV AV E ZIP: SS 3 S� <br /> NAIVIE OF OWNER: �T E V C � G{�'`C,y A M r�F�sG N PHOi�1E: (home) �,/2 �-}-'�S �c2`� <br /> (work) <br /> MAILI�i 1G ADDRESS: Sa��, CITY: ZIP: <br /> CONTRACTOR: W``/ � r' �� PHOiVE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �.���5�-' ► � PH0�1E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION�# <br /> TYPE OF WORK: New Addition Accessory Structure `� <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: To G o�i�7�;Jc'i' A 3�A M �����„ �+ W �T N <br /> �t01r.�*i j �'�W 1P.� �qQ�'r3Url1 �j ✓�'� SQtT. �kC� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �(�=e`r�t�e.�d J�.1 l.a ao r d 5 :i--� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �;� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:� ����•,f�F ,�, DATE: i �� � .��-�s.,�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 9 <br />